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Contact Information

ALAN DERZIE, MD
4802 10TH AVE
BROOKLYN, NY11219-2916
 Phone: 718-283-8773
 Fax: 718-283-8796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ALAN DERZIE · (Male)

NPI Number 1053481978
Status Active
Credentials MD
Entity Individual
Enumeration date 11/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 229148
  • NY Medicaid 02522961
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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